Health Care Is a Universal Value. It’s Time for a Universal Effort.
CHCF Blog
02/07/2018
Author:
Sandra R. Hernández
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Author:
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Eligibility Groups
Date Created: February 2019
Federal law requires all state Medicaid programs to cover certain (mandatory) groups, and allows states to receive federal matching funds for certain other (optional) groups. As allowed under the ACA, California expanded eligibility to low-income adults without disabilities or dependent children with incomes up to 138% FPL, and to parents and caretaker relatives with incomes from 110% to 138% FPL.
Data Source: Sources: Aid Codes and Coverage Groups, custom data request, California Dept. of Health Care Services (DHCS), August 2018; Sandra Williams (chief, Medi-Cal Eligibility Div., DHCS) to all county welfare directors et al., letter 18-03 (PDF), January 30, 2018; List of Medicaid Eligibility Groups, Centers for Medicare & Medicaid Services; Medi-Cal General Property Limitations (PDF), DHCS, April 2014; Sandra Williams (chief, Medi-Cal Eligibility Div., DHCS) to all county welfare directors et al., letter 17-03 (PDF), January 25, 2017; “Where Are States Today? Medicaid and CHIP Eligibility Levels for Children, Pregnant Women, and Adults,” KFF, March 2018; and State Children’s Health Insurance Program (CHIP) Fact Sheet (PDF), Medicaid and CHIP Payment and Access Commission, February 2018.
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From the Publication:
2019 Edition — Medi-Cal Facts and Figures
Income Thresholds, by Funding Source
Date Created: February 2019
Medi-Cal income thresholds vary. In 2018, a single, childless adult with annual income below 138% of the federal poverty level, or $16,754, would be eligible for Medi-Cal. A pregnant woman would be eligible if her annual income was below 322% of the federal poverty level, or $39,091.
Data Source: Sources: Sandra Williams (chief, Medi-Cal Eligibility Div., California Dept. of Health Care Services) to all county welfare directors et al., letter 18-03 (PDF), January 30, 2018; Program Eligibility by Federal Poverty Level for 2019 (PDF), Covered California, October 2018; “Where Are States Today? Medicaid and CHIP Eligibility Levels for Children, Pregnant Women, and Adults,” KFF, March 2018; and Getting and Keeping Health Coverage for Low-Income Californians: A Guide for Advocates, March 2016, Western Center on Law and Poverty.
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From the Publication:
2019 Edition — Medi-Cal Facts and Figures